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Hydrocortisone-induced convulsions.

Majed Odeh1, Alexandra Lavy, Edy Stermer

  • 1Department of Internal Medicine B, Bnai Zion Medical Center, Technion Faculty of Medicine, Israel Institute of Technology, Haifa, Israel. majed.odeh@b-zion.org.il

Journal of Toxicology. Clinical Toxicology
|January 7, 2004
PubMed
Summary
This summary is machine-generated.

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Glucocorticoids like hydrocortisone can cause seizures indirectly through electrolyte issues or high blood pressure. Rarely, these steroids may directly harm the central nervous system (CNS), leading to convulsions.

Area of Science:

  • Neurology
  • Endocrinology
  • Gastroenterology

Background:

  • Glucocorticoids are commonly used to manage inflammatory conditions like Crohn's disease.
  • Potential adverse effects of glucocorticoids include electrolyte imbalances, hypertension, and hyperglycemia.
  • Central nervous system (CNS) toxicity is a rare but documented side effect.

Observation:

  • A 23-year-old patient with Crohn's disease experienced recurrent generalized convulsions.
  • The convulsions occurred on two separate occasions.
  • Both episodes were temporally associated with the administration of intravenous hydrocortisone.

Findings:

  • The patient's seizures were potentially linked to intravenous hydrocortisone administration.
  • This case highlights the possibility of direct CNS toxicity from glucocorticoids.

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  • The underlying mechanism may involve direct neurotoxicity rather than indirect effects like electrolyte abnormalities.
  • Implications:

    • Clinicians should consider direct CNS toxicity when patients on glucocorticoids develop seizures.
    • Further investigation into the neurotoxic potential of glucocorticoids is warranted.
    • This case emphasizes the importance of monitoring for neurological adverse events during glucocorticoid therapy.